Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report

BACKGROUND: U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. OBJECTIVE: To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-years-old man. METHOD: Decompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws. RESULTS: Restitution of lumbosacropelvic stability and recovery of sphincter function. CONCLUSION: Lumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.

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Main Authors: Vilela,Marcelo D., Jermani,Charles, Braga,Bruno P.
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2007
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000500028
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spelling oai:scielo:S0004-282X20070005000282008-04-11Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case reportVilela,Marcelo D.Jermani,CharlesBraga,Bruno P. u-shaped sacral fracture lumbopelvic fixation sacral roots BACKGROUND: U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. OBJECTIVE: To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-years-old man. METHOD: Decompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws. RESULTS: Restitution of lumbosacropelvic stability and recovery of sphincter function. CONCLUSION: Lumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.65 n.3b 20072007-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000500028en10.1590/S0004-282X2007000500028
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countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Vilela,Marcelo D.
Jermani,Charles
Braga,Bruno P.
spellingShingle Vilela,Marcelo D.
Jermani,Charles
Braga,Bruno P.
Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
author_facet Vilela,Marcelo D.
Jermani,Charles
Braga,Bruno P.
author_sort Vilela,Marcelo D.
title Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
title_short Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
title_full Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
title_fullStr Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
title_full_unstemmed Lumbopelvic fixation and sacral decompression for a U-shaped sacral fracture: case report
title_sort lumbopelvic fixation and sacral decompression for a u-shaped sacral fracture: case report
description BACKGROUND: U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. OBJECTIVE: To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-years-old man. METHOD: Decompression of the sacral roots combined with internal reduction and lumbopelvic fixation using iliac screws. RESULTS: Restitution of lumbosacropelvic stability and recovery of sphincter function. CONCLUSION: Lumbopelvic fixation is effective in restoring lumbosacralpelvic stability and allows full mobilization in the postoperative period. Good neurological recovery can be expected in the absence of discontinuity of the sacral roots.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 2007
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000500028
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